Kelly Jo Premo, M.S. CCC SLP
NPI #1891117990 in Ballston Lake, New York
Provider Information
- NPI Number
- 1891117990
- Entity Type
- Individual
- Name
- Kelly Jo Premo, M.S. CCC SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Early Intervention Provider Agency
- Credential
- M.S. CCC SLP
- Enumeration Date
- Jan 9, 2014
- Last Updated
- Apr 14, 2020
Practice Location
- Address
- 118 WESTSIDE DR
- City
- Ballston Lake
- State
- New York
- ZIP Code
- 12019-2028
- Phone
- (518) 424-7971
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
| Early Intervention Provider Agency |
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